Prideaux, Shelly Ann

Prideaux, Shelly Ann is an sole proprietor health care provider with primary practice located at 1024 72Nd St E , Tacoma WA 98404-1732. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Prideaux, Shelly Ann can be contacted via phone (253) 778-3459.

Contact Information

Primary practice address
1024 72Nd St E Tacoma WA 98404-1732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 60179149 Washington

Profile Details

NPI number 1992015325
LBN Legal business name Prideaux, Shelly Ann
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2010
Last updated May 25th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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